Active NPI
Crystal Springs Medical PC
- Clinic/Center
- Lockport, NY
National Provider Identifier
1295756286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 197593
- Legal business name
- CRYSTAL SPRINGS MEDICAL PC
- Practice address
- 6101 Robinson Rd
Lockport, NY 14094-8920 - Phone
- (716) 625-9851
- Fax
- (716) 625-9858
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edgar B. Bassig, M.D.
- Title
- President
- Phone
- (716) 625-9851
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 197593 | NY | Primary |
Addresses
Primary practice location
6101 Robinson Rd
Lockport, NY 14094-8920
Mailing address
6101 Robinson Rd
Lockport, NY 14094-8920
Phone (716) 625-9851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031119000443 | NY | Part B Supplier - Clinic/Group Practice | 1658285994 |
Receives reassigned benefits from 6 practitioners Practice locations: Lockport, NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Lockport, NY
- NPI 1528117884
-
- Nurse Practitioner
- Lockport, NY
- NPI 1568564037
-
- Family Nurse Practitioner
- Niagara Falls, NY
- NPI 1083670293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332288000000",
"number": "1295756286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 ROBINSON RD",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140948920",
"telephone_number": "716-625-9851",
"fax_number": "716-625-9858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 ROBINSON RD",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140948920",
"telephone_number": "716-625-9851",
"fax_number": "716-625-9858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRYSTAL SPRINGS MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2012-03-21",
"status": "A",
"authorized_official_last_name": "BASSIG",
"authorized_official_first_name": "EDGAR",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "716-625-9851",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NY",
"license": "197593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.